Core Competencies for Pediatric Consultation-Liaison Psychiatry in Child and Adolescent Psychiatry Fellowship Training

Shaw, Richard J.; Rackley, Sandra; Walker, Audrey; Fuchs, Douglas; Meadows, Amy Lynn; Dalope, Kristin A.; Pao, Maryland

doi:10.1016/j.psym.2019.04.006

Cited by 9 publications

(8 citation statements)

References 7 publications

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“…Clinical service descriptions for each institution were gathered by multiple choice prefaced by a "select all that apply" statement, as well as an ability to free text an answer outside of the options provided. Current teaching activities included types of didactics provided, barriers to teaching, and lists of topics derived from the prior work of the SIG as described in Shaw et al in 2019 [10]. Participants were allowed to select all answer choices that applied or free text a response.…”

Section: Methodsmentioning

confidence: 99%

“…Given the lack of clear guidelines regarding expected core knowledge and competencies for PCLP, the PICC formed a Special Interest Group (SIG) building on the work of Worley and colleagues in general CLP [9]. Informed by a panel of PCLP educators, the SIG developed an expert consensus on core competencies for training in PCLP with specific areas designed to follow the ACGME's six core competences for graduate medical training [10].…”

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confidence: 99%

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Training Needs Assessment Survey in Pediatric Consultation-Liaison Psychiatry

et al. 2022

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Objective Despite growing recognition of how curriculum modules can benefit child and adolescent psychiatry (CAP) training, there are few standardized teaching resources for pediatric consultation-liaison psychiatry (PCLP). A Special Interest Group (SIG) of the American Academy of Child and Adolescent Psychiatry Physically Ill Child Committee (PICC) conducted a needs assessment to establish interest in, and availability of, a library of online, self-paced learning modules specific to PCLP. Method An email needs assessment survey was distributed to the PICC listserv in the fall of 2019 with four core areas of inquiry:(1) clinical service description, (2) teaching barriers, (3) interest in curriculum resources, and (4) interest in evaluation resources. Results Respondents were representative of typical academic PCLP programs. The response rate was 28% (n = 39). Programs endorsed barriers to teaching including high service obligations and limited protected teaching time. All respondents indicated that they would utilize high-quality, online learning modules. Psychiatric complications of medical illness, catatonia, and delirium were identified as priority topics in the care of pediatric patients with comorbid medical conditions. Conclusions There are currently no published educational studies regarding the training needs for PCLP programs, even among tertiary care academic facilities. This training needs assessment is the first step in establishing a national PCLP training curriculum. New paradigms to develop standardized curriculum resources for PCLP are needed.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Training Needs Assessment Survey in Pediatric Consultation-Liaison Psychiatry

et al. 2022

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“…Entre otras, puede implicar, tanto para el clínico, como para el paciente y su familia, una mayor exigencia de adaptación a condiciones de intervención en crisis dada la gravedad del paciente; puede estar limitada en tiempo, o no contar siempre con la apropiada privacidad en la entrevista en el contexto hospitalario. En esta subespecialidad es importante el desarrollo de habilidades de liderazgo y de trabajo sostenido con el equipo tratante, quien está a cargo del tratamiento médico del paciente y nos provee de información sustancial para la entrevista clínica 25 . Finalmente, el profesional PEIJ debe ser capaz de integrar en la evaluación: el motivo de la derivación, la condición médica del paciente, lo observado por el equipo tratante y la demanda del propio paciente y sus padres respecto de esta evaluación, que muchas veces no está contemplada como una necesidad en este contexto.…”

Section: Unidad Psiquiatría Enlace Infanto Juvenil: Estructura Y Func...unclassified

Psiquiatría de Enlace y Medicina Psicosomática Infanto Juvenil en un Hospital Clínico-Docente

Bronstein

Inzunza

2021

Andes pediatr

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La Medicina Psicosomática explora factores psicológicos, conductuales y sociales que influyen en la salud y calidad de vida del individuo. Desarrolla igualmente las habilidades y conocimientos utilizados en la evaluación y manejo de los factores psicosociales que interfieren en el proceso de enfermar y sanar. La Psiquiatra de Enlace infanto-juvenil (PEIJ) es una disciplina que empíricamente se ha ido instalando con el objetivo de favorecer la adherencia al tratamiento y recuperación de la población infanto-juvenil frente a su proceso de enfermar. Existe necesidad de desarrollo de esta disciplina en nuestro país, pero hasta ahora hay escasos registros y literatura nacional e internacional del trabajo en el área. El objetivo de este artículo es actualizar los conceptos de estructura y funcionamiento de una unidad PEIJ, presentando como base la experiencia en un hospital clínico-docente de alta complejidad, a la vez que reflexionar en torno a los desafíos clínicos implicados en estas temáticas.

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“…99 More recently, recognizing that most training of pediatric C-L specialists occurs in Child and Adolescent Psychiatry Fellowships and that formalized goals for this education did not exist, AACAP's Physically Ill Child Committee assembled a special interest study group to develop best practices of C-L education for child and adolescent psychiatry fellows. 100 This group developed and published core competencies for pediatric C-L psychiatry training, using the subcompetency framework developed by the Accreditation Council for Graduate Medical Education. 100 More work is needed to build on this framework and establish more formalized curricula for training across programs.…”

Section: Trainingmentioning

confidence: 99%

“…100 This group developed and published core competencies for pediatric C-L psychiatry training, using the subcompetency framework developed by the Accreditation Council for Graduate Medical Education. 100 More work is needed to build on this framework and establish more formalized curricula for training across programs.…”

Section: Trainingmentioning

confidence: 99%

Pediatric Consultation-Liaison Psychiatry: An Update and Review

2020

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Background: In recent years, there has been an increasing burden of child and adolescent mental illness recognized in the United States, and the need for pediatric mental health care is growing. Pediatric consultation-liaison (C-L) psychiatrists are increasingly playing a role in the management of medical and psychiatric disease for pediatric patients. The field is a fast-moving one, with understanding of new neuropsychiatric disease entities; reformulation of prior disease entities; and new interdisciplinary treatments and models of care. Methods: In this study, we aim to review recent advances in the field of pediatric C-L psychiatry, including new diagnostic entities, updated management of frequently encountered clinical presentations, and developments in systems of care. Conclusion: The advances in pediatric C-L psychiatry are broad and serve to promote more streamlined, evidence-based care for the vulnerable population of psychiatrically ill pediatric medical patients. More work remains to determine the most effective interventions for the wide array of presentations seen by pediatric C-L psychiatrists.

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Core Competencies for Pediatric Consultation-Liaison Psychiatry in Child and Adolescent Psychiatry Fellowship Training

Cited by 9 publications

References 7 publications

Training Needs Assessment Survey in Pediatric Consultation-Liaison Psychiatry

Training Needs Assessment Survey in Pediatric Consultation-Liaison Psychiatry

Psiquiatría de Enlace y Medicina Psicosomática Infanto Juvenil en un Hospital Clínico-Docente

Pediatric Consultation-Liaison Psychiatry: An Update and Review

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